Massive hydrothorax complicating continuous ambulatory peritoneal dialysis.
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Indwelling percutaneous catheter introducers are useful tools in the critically ill patient. However, their placement is an invasive procedure with potential complications. We describe a previously unreported complication of introducer use and the prevention of this complication.
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This case emphasizes that absence of ascites does not rule out cirrhosis as the cause of a massive pleural effusion. Consideration of hemochromatosis as a cause of cirrhosis is worthwhile both for the patient and his family, as the course of the cirrhosis may be benefited by periodic phlebotomy to reduce the iron overload, and disease may be prevented in asymptomatic relatives.
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